Information Collection

Request for Reference

IC 5270 under ICR 202004-0704-004 · OMB 0704-0167.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0167 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD 370 Request for Reference	Form and Instruction
DD 370 Request for Reference dd0370 draft 20200519.pdf	Form and Instruction
Army System of Records--A0601.doc Army SORN	IC Document
Air Force System of Records--F036 AETC E.doc Air Force SORN	IC Document
Navy Systems of Records --N01133.doc Navy SORN	IC Document
USMC System of Records --MMN00045.doc USMC SORN	IC Document

IC Title:

Request for Reference

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DD 370	Request for Reference	dd0370 draft 20200519.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	50,000	0	50,000
Annual IC Time Burden (Hours)	8,500	4,350	4,150
Annual IC Cost Burden (Dollars)	61,500	-13,000	74,500

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Army SORN	Army System of Records--A0601.doc	08/31/2008
Air Force SORN	Air Force System of Records--F036 AETC E.doc	08/31/2008
Navy SORN	Navy Systems of Records --N01133.doc	08/31/2008
USMC SORN	USMC System of Records --MMN00045.doc	08/31/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.